skip to content
Thank you for visiting First Coast Service Options' Medicare provider website. This website is intended exclusively for Medicare providers and health care industry professionals to find the latest Medicare news and information affecting the provider community.
To enable us to present you with customized content that focuses on your area of interest, please select your preferences below:
Select which best describes you:
Select your location:
Select your line of business:
This website provides information and news about the Medicare program for health care professionals only. All communication and issues regarding your Medicare benefits are handled directly by Medicare and not through this website. For the most comprehensive experience, we encourage you to visit Medicare.gov or call 1-800-MEDICARE. In the event your provider fails to submit your Medicare claim, please view these resources for claim assistance.
En Español
Text Size:
Send a link to this page
[Multiple email adresses must be separated by a semicolon.]

Billing news

Tired of paper?

Secure Provider Online Tool (SPOT)

Did you know you can check claim status and find eligibility and benefits data online?
Modified: 5/14/2020
Please review this article if you submit Medicare Part B paper claim forms. First Coast is implementing instructions from CMS that will impact how many claim lines you are able to submit.
Modified: 5/8/2020
The Centers for Medicare & Medicaid Services (CMS) has issued the 2020 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee for service program. [MM11542]
Modified: 5/7/2020
Part B claims processed on and after February 10, 2020, will be edited for positron emission tomography (PET) scan and tracer codes and will reject if a tracer code is not billed for the same date of service with a PET scan code and vice versa. [CR 10319]
Modified: 5/2/2020
The Centers for Medicare & Medicaid Services (CMS) recently issued the 2019 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee for service program. [MM11025]
Modified: 4/30/2020
Submitted in response to a common billing issue relating to improper or insufficient documentation for tetanus vaccinations.
Data indicates that many providers are not submitting proper diagnosis codes to support the medical necessity for tetanus vaccinations.
Modified: 4/26/2020
This information outlines the process for the 935 recoupment.
Modified: 4/26/2020
To determine if a claim was medically reviewed, providers should look at certain fields on the claim screen. [Provider Outreach and Education]
Modified: 4/18/2020
This article provides information regarding unsolicited/voluntary refunds; that is, monies received by Medicare not related to an open account receivable.
Modified: 4/9/2020
First Coast would like to ensure providers performing biopsy services understand how to properly bill and code for these procedures. Recent data indicates improper billing so we want to provide clarification of top issues we identified.
Modified: 4/3/2020
This article assists with billing requirements for cochlear implant batteries L8621-L8624.
Modified: 4/3/2020
This article is a reminder for all inpatient claim submitters about how to correctly submit the date of service on the claim.
Modified: 4/3/2020
This article is a reminder for all outpatient claim submitters about how to correctly submit the date of service on the claim.
Modified: 3/19/2020
The interest period begins on the day after payment is due and ends on the day of payment. The new rate of 2.125 percent is in effect January through June 2020. [Publication 100-04, Chapter 1, Section 80.2.2]
Modified: 3/13/2020
Learn which modifier to use when you expect Medicare will deny a claim that does not meet medical necessity criteria and whether you have or do not have an advanced beneficiary notice (ABN) signed by the beneficiary.
Modified: 3/5/2020
Medicare claims processing systems will accept HCPCS code U0001 on April 1, 2020, for dates of service on or after February 4, 2020.
Modified: 2/29/2020
The Centers for Medicare & Medicaid Services (CMS) issued the 2019 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee for service program. [MM11025]
Modified: 1/6/2020
The Multi-Carrier System (MCS) currently requires modifiers 59, XE, XS, XP, and XU be appended to the column two code to bypass a procedure-to-procedure (PTP) edit. Effective July 1, 2019, Medicare will allow these modifiers on column one and column two codes to bypass the edit. More information is available in MLN Matters® article MM11168 linked here. [MM11168]
Modified: 11/14/2019
Most services billed to Medicare must reflect the exact date the service was performed for or provided to the patient. This article discusses situations where there have been questions from the provider community. [SE17023]
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.